scholarly journals The Relationship Between Degrees of Pre-Operative Anxiety With Pain and Post Operative Answer in Patients Who Undergo C-Section With Spinal Anesthesia

Author(s):  
Boy Olifu Elniko Ginting ◽  
Akhyar Hamonangan Nasution ◽  
Soejat Harto

Anxiety is an unpleasant feeling that is considered a fear of a threatening danger, often the threat is unknown and always includes various emotional and hemodynamic responses experienced by the organism prior to emotional stimulation. To determine the relationship between the degree of pre-operative anxiety with post-operative pain in patients undergoing cesarean sectio with spinal anesthesia techniques at H. Adam Malik Hospital. Descriptive analytic research was conducted at Haji Adam Malik General Hospital in Medan from May to June 2020. The study population was all subjects scheduled to undergo sectio cesarea with spinal anesthesia at Haji Adam Malik General Hospital. The total sample obtained was 28 patients. The normal test of numerical data test was used with the Spearman Correlation test. The research hypothesis was tested using the Mann-Whitney test. In the study conducted on 28 samples divided into 2 groups, it was found that there was a moderate and direct relationship between APAIS scores and VAS scores. Based on this study, it was found that the average preoperative APAIS score was 11.07 (± 3.79). And for the mean value of postoperative VAS is 2.37 (± 1.04). In the result of this study it was found that there was a moderate and unidirectional relationship to the APAIS score and this VAS score (p <0.05). While the preoperative APAIS score was 11.07 (± 3.79). And for the mean postoperative VAS-A value is 3.33 (± 1.03). In the result of this study also found that there is a strong and direct relationship in the APAIS score and this VASA score (p<0.05). There is a moderate and direct relationship between APAIS scores and this VAS score and that there is a strong and direct relationship in the APAIS score and this VAS-A score

2020 ◽  
Vol 8 (3) ◽  
pp. 12
Author(s):  
Solmaz Pourzare Mehrbani ◽  
Paria Motahari

Changes in composition and flow rate of saliva depict secondary systematic variations related to diseases, drugs and treatment of illnesses. This research examines the relationship between the saliva pH and saliva resistin in the seemingly healthy individuals. In this study 82 patients referring to the Department of Oral Medicine, Faculty of Tabriz Dentistry were examined. Before sampling from the patients with inclusive conditions, their mouths were washed by water and after 15 minutes 5ml of their saliva were collected by drooling in the sterile polyethylene containers. The collected samples were transferred to the laboratory and their pH was measured. Then the enzyme-linked immunosorbent assay (ELISA) test was performed by specific kit for saliva resistin measuring. The mean value of saliva resistin was 15.60±7.56 and pH mean value was 7.61±0.68. Results showed that about 61% of patients had resistin higher than15 ng/ml. According to the analysis results, 15.9% of patients had pH less than 7 while 57.3% had pH between 7-8 and 26.8% had pH higher than 8. There was a positive relationship between saliva resistin and pH. Since salivary resistin levels vary in response to different clinical conditions, direct relationship between the saliva resistin and pH indicates that pH changes can depict risk factor for specific diseases.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1079.1-1079
Author(s):  
I. Yoshii

Background:Boolean remission criteria is one most popular and stringent criteria in treating patient with rheumatoid arthritis (RA), because it may guarantees a stable clinical course after attaining remission.Objectives:Impact of time span from initiation to achieving Boolean remission on maintaining disease activity, daily activities, and quality of life after attaining Boolean remission was investigated from daily clinical practice data.Methods:685 patients with RA since August 2010 under the T2T strategy were treated. They were monitored for their TJC, SJC, PGA, EGA, CRP, and disease activity indices such as CDAI, SDAI, DAS28, and Boolean criteria at every visit. HAQ-DI score, pain score using visual analog scale (PS-VAS), and EQ-5D were also monitored, and the quality of life score (QOLS) calculated from EQ-5D was determined at every visit from the time of diagnosis (baseline).Of 685 patients, 465 patients had achieved Boolean remission >1 times, and were consecutively followed up for >3 years. These patients were enrolled in the study. Time span from the first visit to first Boolean remission was calculated. The relationship between the time span and each of background parameters, and the relationship between the time span and each of the mean values of the SDAI score, HAQ score, PS-VAS, SHS, and QOLS at the first Boolean remission and thereafter was evaluated statistically.Patients were subsequently divided into the G ≤ 6 and G > 6 groups based on the achievement of first Boolean remission within two groups: time span G ≤ 6 months and G > 6 months. The two groups were compared with regard to the SDAI score, HAQ score, PS-VAS, SHS, and QOLS at first visit and at the time of first Boolean remission, and the mean values of these parameters after remission were evaluated statistically. Moreover, changes of these parameters and the mean Boolean remission rate after the first remission, and SDAI remission rate at the first Boolean remission to thereafter were compared between the two groups statistically.Results:Out of 465 patients, females comprised 343 (73.7%), and the mean age was 67.8 years (range, from 21–95 years). The mean disease duration at first visit was 6.1 years (range, from 1 months–45 years). The mean follow up length was 88.1 months (range: 36–122 months; median: 85 months) and mean time span from the first visit to the first Boolean remission was 8.1 months. The mean SDAI score, HAQ score, PS-VAS, and the QOLS at first visit were 13.3, 0.467, 33.2, and 0.834, respectively. Among the study parameters, PS-VAS and QOLS were significantly correlated with the time span. For parameters at the first Boolean remission, HAQ-DI score, PS-VAS, and QOLS demonstrated significant correlation with the time span, whereas SDAI, HAQ-DI score, PS-VAS, SHS, and QOLS after the Boolean remission demonstrated significant correlation with the time span.The comparison between the G ≤ 6 and the G > 6 groups revealed that the disease duration, HAQ score, and PS-VAS at baseline in the G > 6 were significantly higher than that in the G ≤ 6 group, and QOLS in the G ≤ 6 group was significantly higher than that in the G > 6 group at baseline. Similarly, the HAQ score and PS-VAS at the first Boolean remission in the G > 6 group were significantly higher than that in the G ≤ 6 group, whereas QOLS in the G ≤ 6 group demonstrated no significant difference compared with that in the G > 6 group.The mean value of the SDAI score after the first Boolean remission in the G > 6 group was significantly higher than that in the G ≤ 6 group. Similarly, the SDAI score, HAQ score, and PS-VAS after the first Boolean remission in the G > 6 group were also significantly higher than those in the G ≤ 6 group, and the mean value of the QOLS in the G ≤ 6 group were significantly higher than that in the G > 6 group. The Boolean remission rate and SDAI remission rate after the first Boolean remission were significantly higher in the G ≤ 6 group than those in the G > 6 group.Conclusion:Attaining Boolean remission ≤ 6 months for RA has significant benefit for more stable disease control, that leads good maintenance of ADL.Disclosure of Interests:None declared


1993 ◽  
Vol 41 (6) ◽  
pp. 829-836 ◽  
Author(s):  
M Derenzini ◽  
F Farabegoli ◽  
D Trerè

We studied the distribution of DNA in human circulating lymphocyte nucleoli using three different cytochemical methods for selective visualization of DNA in thin sections: the Feulgen-like osmium-ammine reaction, the NAMA-Ur procedure, and the osmium-ammine staining in glycine buffer, pH 1.5. All three methods indicated the presence of uniformly distributed, highly decondensed DNA filaments forming a large solitary agglomerate in the central part of the nucleolar area, corresponding to the solitary large fibrillar center (FC) as revealed by uranium and lead staining. We also studied the relationship between DNA agglomerates and nucleolar fibrillar components in resting and phytohemagglutinin (PHA)-stimulated lymphocytes by morphometric analysis of the areas occupied by these structures. In resting lymphocytes the mean area of the DNA agglomerates was 0.479 micron 2 +/- 0.161 SD, whereas that of FCs was 0.380 micron 2 +/- 0.149 SD, with a ratio of 1.26. In PHA-stimulated lymphocytes the mean area of the DNA agglomerates was 0.116 micron 2 +/- 0.056 SD, whereas that of the FCs was 0.075 micron 2 +/- 0.032 SD, with a ratio of 1.55. In PHA-stimulated lymphocytes we also measured the area occupied by the FCs plus the closely associated dense fibrillar component (DFC). The mean value of these two fibrillar components was 0.206 micron 2 +/- 0.081 SD. These data demonstrate that decondensed DNA filaments are uniformly distributed in the FCs and that in transcriptionally active nucleoli they are also present in the proximal portion of the DFC surrounding the FCs.


2014 ◽  
Vol 1010-1012 ◽  
pp. 1059-1063
Author(s):  
Wei Guan ◽  
Tao Fan ◽  
Xiu Qin Zhu

To elucidate the relationship between stable isotopes of precipitation (SIP) and the extreme drought in Kunming area, based on the stable isotopes data of the GNIP in Kunming site from 1986 to 2003, the precipitation line equation is brought forward and the seasonal change rule of stable isotopes are discussed. The stable isotopic compositions of precipitation exhibit great diversities in different seasons during to influences of multiple factors, such as monsoon, rainfall amount moisture source and others. The δ18O values in rainwater exhibit significant seasonal variations, the average of-10.12‰ in rainy season, the dry season is-4.5‰, having lower values in the rainy season and higher one in the dry season. The amount effect of precipitation is very distinct, that concealed the temperature effect. Got the special geographical position,dvalues present unique characteristics, the average ofdvalues is 10.78‰ in rainy season, and is 4.86‰ in dry season, the mean value is generally lower than most parts of the world.


Author(s):  
Mohammad Sheikh Hammoud ◽  
Bakkar S. Bakkar ◽  
Yousef Abdulqader Abu Shendi ◽  
Yousuf Saif Al Rujaibi

 The purpose of this study was to examine the relationship between alexithymia and career decision -making self-efficacy among Tenth and Eleventh grade students in Muscat governorate. To achieve this purpose,  Alexithymia Scale (AS),and CDMSE Short Form were administered to a total sample of 556 students of Tenth and Eleventh grades ( (n = 278) males and (n = 278) females . Findings revealed that the level of alexithymia was less than the mean of items, while the level of CDMSE was more than the mean of items, as well as there was no significant correlational relationship between alexithymia and CDMSE. The findings also indicated that there were significant gender differences in alexithymia, while there were no significant gender differences in CDMSE. With regard to GPA, the findings revealed that there were no significant differences in alexithymia, while there were significant differences in CDMSE. Conclusion: It concludes that although there was no significant correlational relationship between alexithymia and career decision-making self-efficacy, alexithymia negatively affects individual’s decisions in life.


2020 ◽  
Vol 23 (03) ◽  
pp. 2050007
Author(s):  
SEAN ELVIDGE

This paper further investigates the Talent versus Luck (TvL) model described by [Pluchino et al. Talent versus luck: The role of randomness in success and failure, Adv. Complex Syst. 21 (2018) 1850014] which models the relationship between ‘talent’ and ‘luck’ on the impact of an individuals career. It is shown that the model is very sensitive to both random sampling and the choice of value for the input parameters. Running the model repeatedly with the same set of input parameters gives a range of output values of over 50% of the mean value. The sensitivity of the inputs of the model is analyzed using a variance-based approach based upon generating Sobol sequences of quasi-random numbers. When using the model to look at the talent associated with an individual who has the maximum capital over a model run it has been shown that the choice for the standard deviation of the talent distribution contributes to 67% of the model variability. When investigating the maximum amount of capital returned by the model the probability of a lucky event at any given epoch has the largest impact on the model, almost three times more than any other individual parameter. Consequently, during the analysis of the model results one must keep in mind the impact that only small changes in the input parameters can have on the model output.


1979 ◽  
Vol 47 (1) ◽  
pp. 233-239 ◽  
Author(s):  
D. A. Miller ◽  
A. L. Kunz

The avian respiratory oscillator has been investigated in a unidirectionally ventilated chicken by changing the dynamic pattern of inflow CO2 concentration (FCO2). Stimulation with periodic FCO2 results in a one-to-one synchronization of the respiratory movements that we have called pacing (Respir. Physiol. 22: 167--177, 1974). A two-parameter CO2 threshold model is proposed to explain this behavior. The model states that when FCO2 reaches a threshold level (L), it initiates the beginning of inspiration a constant time interval (LB) later. According to this model, when a triangular FCO2 concentration is used to synchronize the breathing pattern, the time from the minimum of the wave form to the beginning of inspiration (C-B interval) is dependent on the mean value and the rate of rise of FCO2 as determined by period and amplitude of the triangle. Particularly interesting is the prediction that the direction of the relationship (increasing or decreasing) between FCO2 amplitude and the C-B interval is dependent on whether the mean value of FCO2 is above or below the threshold level. Experimental data obtained during amplitude changes support the above prediction.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dilhan İlgüy ◽  
Mehmet İlgüy ◽  
Erdoğan Fişekçioğlu ◽  
Semanur Dölekoğlu ◽  
Nilüfer Ersan

Aim. The aim of the present study was to examine the relationship between articular eminence inclination, height, and thickness of the roof of the glenoid fossa (RGF) according to age and gender and to assess condyle morphology including incidental findings of osseous characteristics associated with osteoarthritis (OA) of the temporomandibular joint (TMJ) using cone beam computed tomography (CBCT).Materials and Methods. CBCT images of 105 patients were evaluated retrospectively. For articular eminence inclination and height, axial views on which the condylar processes were seen with their widest mediolateral extent being used as a reference view for secondary reconstruction. Condyle morphology was categorized both in the sagittal and coronal plane.Results. The mean values of eminence inclination and height of males were higher than those of females (P<0.05). There were significant differences in the RGF thickness in relation to sagittal condyle morphology. Among the group of OA, the mean value of the RGF thickness for “OA-osteophyte” group was the highest (1.59 mm), whereas the lowest RGF values were seen in the “OA-flattening.”Conclusion. The sagittal osteoarthritic changes may have an effect on RGF thickness by mechanical stimulation and changed stress distribution. Gender has a significant effect on eminence height (Eh) and inclination.


1994 ◽  
Vol 116 (1) ◽  
pp. 26-30
Author(s):  
Jun-Yao Yu

The Fourier coefficients are investigated for such a periodic time function whose magnitude keeps constant during the time of every half-period. In this case the relationship between the mean value and the Fourier coefficients is achieved using appropriate mathematical theory. It was applied successfully to the study of torsional harmonic excitations due to gas pressure in a four-cycle IC engine. A formula relating the truncated Fourier coefficient series to MIP has been established with very little error. The series simulation of Fourier coefficients is utilized in the determination and analysis of excitations.


1989 ◽  
Vol 208 ◽  
pp. 459-478 ◽  
Author(s):  
Akira Umemura ◽  
F. H. Busse

A matched-asymptotic analysis has been carried out for an axisymmetric convection cell in the case of stress-free boundaries. This problem differs from that of two-dimensional convection rolls mainly through the special role played by the central plume. The radius, of order ε, of the latter depends on the Rayleigh number R through the relationship $\epsilon^4(-\ln \epsilon) = R^{\frac{2}{3}}$. The plume velocity is independent of height at lowest order and its magnitude exceeds by a factor (− ln ε)½ the strength, of order $R^{\frac{2}{3}}$, of the core flow. As a result of these properties the central plume is governed by advection, in contrast to the perimeter plume which is affected by conduction as well. This asymmetry is reflected in the different thickness of the horizontal thermal boundary layers and gives rise to the deviation of the core temperature from the mean value of the top and bottom temperatures. This deviation is positive (negative) for the case of a falling (rising) central plume. While the core flow is driven mainly by the perimeter plume the fraction of the heat flux carried by the central plume is always above three-quarters and increases as the radius-to-height-ratio λ decreases.


Sign in / Sign up

Export Citation Format

Share Document